<span class="uk-form uk-form-horizontal">
<div class="uk-form-row">
    <label class="uk-form-label" for="">Card Number:</label>
    <div class="uk-form-controls">
        <input type="text" name="card_no" />
    </div>
</div>
<div class="uk-form-row">
    <label class="uk-form-label" for="">Expired Date:</label>
    <div class="uk-form-controls">
                <select name="ex_month" >
        <volist name=":getCardExpiryDate('m')" id="vo">     
        <option value="{$vo}">{$vo}</option>    
        </volist>
        </select>/
                <select name="ex_year" >
        <volist name=":getCardExpiryDate('y')" id="vo">     
        <option value="{$key}">{$vo}</option>   
        </volist>
        </select>   
    </div>
</div>
<div class="uk-form-row">
    <label class="uk-form-label" for="">CVV/CVC:</label>
    <div class="uk-form-controls">
        <input type="text" name="cvv" maxlength="4" />
    </div>
</div>
</span>
